<form id="sms" name="sms" method="post" action="send_sms.php">
<table width="400">
<tr>
<td align="right" valign="top">From:</td>
<td align="left"><input name="from" type="text" id="from" size="30" /></td>
</tr>
<tr>
<td align="right" valign="top">To:</td>
<td align="left"><input name="to" type="text" id="to" size="30" /></td>
</tr>
<tr>
<td align="right" valign="top">Carrier:</td>
<td align="left"><select name="carrier" id="carrier">
<option value="verizon">Verizon</option>
<option value="tmobile">T-Mobile</option>
<option value="sprint">Sprint</option>
<option value="att">AT&amp;T</option>
<option value="virgin">Virgin Mobile</option>
</select></td>
</tr>
<tr>
<td align="right" valign="top">Message:</td>
<td align="left"><textarea name="message" cols="40" rows="5" id="message"></textarea></td>
</tr>
<tr>
<td colspan="2" align="right"><input type="submit" name="Submit" value="Submit" /></td>
</tr>
</table>
</form> 
